Active NPI
Catherine Elaine Pollock, RD LD
- Registered Dietitian
- Pella, IA
National Provider Identifier
1356970248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01496
- Practice address
- 404 Jefferson St
Pella, IA 50219-1257 - Phone
- (641) 628-6618
- Fax
- (641) 621-2419
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01496 | IA | Primary |
Addresses
Primary practice location
404 Jefferson St
Pella, IA 50219-1257
Mailing address
404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-6618
Other practice location 1
1117 Hazel St
Pella, IA 50219-1338
Phone (641) 628-8826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| Wallips Dialysis, LLC | Past | Accepting new patients |
Locations
404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pella Medical Clinic
- Multi-Specialty Clinic/Center
- Pella, IA
- NPI 1053369405
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
-
dba Pella Regional Prairie City Pharmacy
- Community/Retail Pharmacy
- Prairie City, IA
- NPI 1033787445
-
dba Pella Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pella, IA
- NPI 1477086692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1356970248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 JEFFERSON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191257",
"telephone_number": "641-628-6618",
"fax_number": "641-621-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 JEFFERSON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191257",
"telephone_number": "641-628-6618",
"fax_number": "641-621-2419"
}
],
"practiceLocations": [
{
"address_1": "1117 Hazel St",
"address_purpose": "LOCATION",
"city": "Pella",
"state": "IA",
"postal_code": "502191338",
"country_code": "US",
"telephone_number": "641-628-8826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLOCK",
"first_name": "CATHERINE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
- Mary Elizabeth Phillips, DIETITIAN
- Kimberly Kay Pickett, LISW
- Heather Renee Pilcher, PTA, MSE, ATC, LAT
- Pine Rest Christian Mental Health Services
- Alyssa Plunkett, LMSW
- Tamara Jean Pommer
- Richard Dale Posthuma, MD
- Premise Health of Iowa Medical P C (Pella Corporation Wellness Center, Powered by Premise Health)
- Premise Health of Iowa Medical P C
- Baylee Nicole Pritchard, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.